Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,366.85 / $1,366.85 / $3,511.00	Facility		$1,366.85	$1,366.85	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,160.27 / $1,366.85 / $3,394.95	Professional		$1,160.27	$1,366.85	$3,394.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,422.13 / $3,153.02 / $3,941.27	Professional		$2,422.13	$3,153.02	$3,941.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.78 / $2,309.98 / $4,053.24	Facility		$1,737.78	$2,309.98	$4,053.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,341.32 / $2,954.28 / $11,055.60	Professional		$1,341.32	$2,954.28	$11,055.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,183.58 / $3,466.99 / $7,260.61	Facility		$2,183.58	$3,466.99	$7,260.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,183.58 / $2,994.11 / $3,826.36	Professional		$2,183.58	$2,994.11	$3,826.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,761.96 / $2,451.17 / $2,794.61	Professional		$1,761.96	$2,451.17	$2,794.61
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,547.48 / $2,813.60 / $3,906.06	Professional		$1,547.48	$2,813.60	$3,906.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,772.40 / $3,392.10 / $3,392.10	Professional		$2,772.40	$3,392.10	$3,392.10